Physics Olympiad Teachers Exposure Camp - 2019 - Application Form : HBCSE

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Physics Olympiad Teachers Exposure Camp - 2019 - Application Form : HBCSE - TIFR, Mumbai

Name *

Gender *

Male

Female

Other

Date of Birth *

YYYY

Designation (Research faculty / Teacher / Scientific Staff etc.)

Name of Institution *

Address of Institution *

Address for correspondence: *

Pincode *

Residential Phone Number *

Mobile No. *

Email Address *

Educational Qualification *

Subject area for the highest degree *

Applicant may be described as *

Teacher in secondary school (class 10th)

Teacher at +2 level

Teacher at UG college or University

Scientist at a research institute

Outreach professional in research institute / science centre / planetarium

Other:

Required

Indicate the level and subject(s) that you teach at your institution (e.g., "Class 12 Physics")

Have you attended any exposure camp organised by HBCSE? *

Please do not hide any information about previously attended camps. We match your application with previous records. At any stage if we find that you have misled us, your candidature will be cancelled and will not be allowed to attend the camp after arrival at HBCSE, Mumbai. You will also be barred from any future programme at the centre.

Yes

If Yes, please give details

Are you applying under the PMMMNMTT scheme of MHRD? *

Yes

Official invitation letter addressed to higher authority

If you need an official letter to be sent to some higher authority for approval of your leave to attend this camp (if selected), please fill the details below.

Name of the higher authority

Designation of the higher authority

Address of the higher authority

Email address of the higher authority

Submit

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